Ridgefield Sports Medicine, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RIDGEFIELD SPORTS MEDICINE, LLC

Practice address

159 Danbury Rd Unit 105
Ridgefield, CT 06877-3235

Phone

(203) 403-6980

Fax

(203) 403-6172

NPI assigned

Feb 13, 2019

Last updated

May 2, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Betsy A Pulick, DCNPI 1356704688

Title

Owner

Phone

(914) 760-3655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betsy A Pulick, D.C.

  • Chiropractor
  • Ridgefield, CT
  • NPI 1356704688
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1376009472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-403-6980",
            "fax_number": "203-403-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 DANBURY RD UNIT 105",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773235",
            "telephone_number": "203-403-6980",
            "fax_number": "203-403-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "PULICK",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-760-3655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgefield Oral and Maxillofacial Surgery, LLC
• Ridgefield Pediatric Associates
• Ridgefield Physical Therapy LLC
• Ridgefield Public Schools
• Ridgefield Sensory Clinic LLC
• Ridgefield Youth Service Bureau Inc
• Rightpro Staffing LLC
• Nicholas Joseph Ritzcovan, D.D.S
• Sabrina A Rizzo, MOT, OTR/L
• Livia Robinson

• Chiropractor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.